I highly recommend Dr. Michael Brisman and his team! I have never had to wait to get a response from Julie, his assitant or Dr. Brisman at any time when we have had question. My daughter was diagnosed with TN years ago. She had gone to several specialists, which only led to adding more and more pills. It wasn't till she saw Dr. Brisman, virtually, on the phone, that he was able to get her the help she needs. Now, she is able to take a pill when it is needed. If we had not gone to Dr. Brisman, she would of still been in intense pain day to day. My son-in-law, who has had TN even longer, found relief through an MVD for over a year. We are now exploring more procedures with Dr. Brisman. We live in CNY and it is so worth the trip to Rockville Centre to get his help. He may even be able to help virtually. Don't hesitate to call to make an appointment.